Kimon Alexander Kostopoulos, DO

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

OS012128 Issued in PA

Practice address

825 Town Center Drive
Suite 152
Langhorne, PA 19047-3030

Phone

(215) 741-3510

Fax

(215) 741-3519

NPI assigned

May 31, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ, PA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nephrology

Education

Philadelphia College of Osteopathic Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Aria Health Physician ServicesGroup PAC ID 3577467018, 456 clinicians

Methodist Associates in Healthcare, IncGroup PAC ID 6406755651, 387 clinicians

Methodist Associates in Healthcare of New Jersey, P.C.Group PAC ID 4981965324, 136 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Thomas Jefferson University Hospital Hospital, Philadelphia, PA, CCN 390174

Merit-based Incentive Payment System (MIPS)

Final score

91.59 of 100Reported as group

Quality

74.34

Promoting interoperability

100

Improvement activities

40

Cost

75.79

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3389/brand/1/csg/21/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Aria Health Physician Services

  • Family Medicine Physician
  • Richboro, PA
  • NPI 1750949806
  Medicare reassignment Care Compare group NPD
• Methodist Associates in Healthcare, Inc

  • Family Medicine Physician
  • Philadelphia, PA
  • NPI 1053355131
  Medicare reassignment Care Compare group NPD
• Methodist Associates in Healthcare of New Jersey, P.C.

  • Cardiovascular Disease Physician
  • Robbinsville, NJ
  • NPI 1649636754
  Medicare reassignment Care Compare group
• Abington Memorial Hospital

  • Neurology Physician
  • Lansdale, PA
  • NPI 1275083800
  Medicare reassignment NPD
• Clinical Renal Associates, LLC

  • Nephrology Physician
  • Upland, PA
  • NPI 1689620254
  Medicare reassignment NPD
• Jefferson University Physicians

  • General Practice Physician
  • Philadelphia, PA
  • NPI 1326093675
  Medicare reassignment NPD
• Abington Memorial Hospital

  • Maternal & Fetal Medicine Physician
  • Abington, PA
  • NPI 1649033069
  NPD
• Aria Health Physician Services

  • Family Medicine Physician
  • Philadelphia, PA
  • NPI 1053181297
  NPD
• Aria Health Physician Services

  • Critical Care Medicine (Internal Medicine) Physician
  • Philadelphia, PA
  • NPI 1811031131
  NPD
• Methodist Associates in Healthcare, Inc

  • Neurological Surgery Physician
  • Philadelphia, PA
  • NPI 1790390813
  NPD
• Methodist Associates in Healthcare, Inc.

  • Family Medicine Physician
  • Philadelphia, PA
  • NPI 1033575352
  NPD
• Jefferson University Physicians

  • Gastroenterology Physician
  • Phila, PA
  • NPI 1205898723
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Thomas Jefferson University Hospitals Inc

  • General Acute Care Hospital
  • Philadelphia, PA
  • NPI 1215916002
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361750400000",
    "number": "1609813880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 538",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190530538",
            "telephone_number": "215-741-3510",
            "fax_number": "215-741-3519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 TOWN CENTER DRIVE",
            "address_2": "SUITE 152",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190473030",
            "telephone_number": "215-741-3510",
            "fax_number": "215-741-3519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSTOPOULOS",
        "first_name": "KIMON",
        "middle_name": "ALEXANDER",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2013-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "OS012128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019054860003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Kooker, FNP-BC
• Sheela Korah
• Kimberly Anne Koschineg, O.T.
• Stanislawa Kosmala, C.O.T.A.
• Deborah Elizabeth Kossmann, PSY.D.
• Michael Kowalski
• Sayon Sieh Kplepo
• Maryellen Kraft, CRNA
• R. Drew Krajeski, MD
• Erika Kramer

• Nephrology Physician in Langhorne, PA
• Providers in Langhorne, PA by specialty
• Nephrology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.